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Organization

MICHELLE L CARDIN

Active
Other names
Wildhorse Pain Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE L CARDIN (CEO)
(918) 721-1473
Entity
Organization

Contact information

Practice address
3807 W CHEROKEE AVE, SALLISAW, OK 74955-2452
(918) 721-1473
Mailing address
22299 MOUNT PLEASANT RD, HOWE, OK 74940-3100
(918) 721-1473

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
27462
OK

Other

Enumeration date
10/15/2014
Last updated
10/15/2014
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